Full Text Available

Access Repository
Note: Clicking the button above will open the full text document at the original institutional repository in a new window.
Cover Image

Factors associated with recurrent unplanned hospital visits at Khayelitsha District Hospital, Cape Town, South Africa

Thesis (MFamMed)--Stellenbosch University, 2019.

Saved in:
Main Author: Sayed, Javed
Other Authors: Pather, Michael
Format: Thesis
Language:en_ZA
Published: Stellenbosch : Stellenbosch University 2019
Subjects:
Hospitals > Admission and discharge > South Africa
Hospital utilization > Length of stay > South Africa
UCTD
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1867613954028601344
access_status_str Open Access
author Sayed, Javed
author2 Pather, Michael
author_browse Pather, Michael
Sayed, Javed
author_facet Pather, Michael
Sayed, Javed
author_sort Sayed, Javed
collection Thesis
dc_rights_str_mv Stellenbosch University
description Thesis (MFamMed)--Stellenbosch University, 2019.
format Thesis
id oai:scholar.sun.ac.za:10019.1/105564
institution Stellenbosch University (South Africa)
language en_ZA
last_indexed 2026-06-10T12:44:20.637Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2019
publishDateRange 2019
publishDateSort 2019
publisher Stellenbosch : Stellenbosch University
publisherStr Stellenbosch : Stellenbosch University
record_format dspace
source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/105564 Factors associated with recurrent unplanned hospital visits at Khayelitsha District Hospital, Cape Town, South Africa Sayed, Javed Pather, Michael Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Family and Emergency Medicine. Family Medicine and Primary Care. Hospitals -- Admission and discharge -- South Africa Hospital utilization -- Length of stay -- South Africa UCTD Thesis (MFamMed)--Stellenbosch University, 2019. ENGLISH SUMMARY: Background: There is a worldwide trend towards decreasing the length of hospital stay as a result of bed pressure and an attempt to decrease hospitalization costs. Khayelitsha has a high population density, with a high disease and social burden. KDH needs a rapid bed turnover to meet local demands. This arguably occurs at the price of decreased quality of care and perpetuation of the revolving door phenomenon. The 30 day readmission rate is becoming a benchmark for hospital quality of care assessment. Repeated unplanned hospital visits occur commonly among medical patients at KDH. Aim: To identify the factors associated with unplanned hospital visits amongst adult medical patients at KDH. Setting: The internal medicine department at KDH. Design: A descriptive cross-sectional study was conducted by means of folder reviews, evaluating medical admissions and unplanned hospital visits (UHV) during the preceding 30 days of medical admissions over a 2-month period. The prevalence of UHVs during the preceding 30 days of medical admissions was measured. Factors associated with UHVs prior to admission were identified and reasons for avoidable readmissions were determined. Results: A total of 407 patient folders were evaluated. The prevalence of UHV was 21.9%. Avoidable readmissions accounted for 37.1% of admissions. Chronic diseases, poorly managed HIV, decreased mobility and shorter hospital stay were the drivers for recurrent hospital visits. Diagnostic errors (39%), complications of admission (24.2%) and too early discharge (15.1%), p < 0.001 were the most common reasons for avoidable admissions. Conclusion: More than 20 percent of medical admissions visited the hospital in the preceding 30 days and more than one third of these admissions were avoidable. Chronic diseases, poorly managed HIV, decreased mobility and shorter hospital stay were the drivers for recurrent hospital visits. Diagnostic errors, complications of admission and too early discharge were the most common reasons for avoidable admissions. Recurrent hospitalisation was associated with increased morbidity and mortality. Early identification of patients at risk of readmission may guide interventions to reduce readmissions. Decreasing the readmission rate by better clinical care and discharge planning may be a viable strategy to improve hospital efficiency in terms of cost reduction and improved quality of care. AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar. Masters 2019-02-28T11:46:09Z 2019-04-17T08:02:35Z 2019-02-28T11:46:09Z 2019-04-17T08:02:35Z 2019-04 Thesis http://hdl.handle.net/10019.1/105564 en_ZA Stellenbosch University 19 pages application/pdf Stellenbosch : Stellenbosch University
spellingShingle Hospitals -- Admission and discharge -- South Africa
Hospital utilization -- Length of stay -- South Africa
UCTD
Sayed, Javed
Factors associated with recurrent unplanned hospital visits at Khayelitsha District Hospital, Cape Town, South Africa
title Factors associated with recurrent unplanned hospital visits at Khayelitsha District Hospital, Cape Town, South Africa
title_full Factors associated with recurrent unplanned hospital visits at Khayelitsha District Hospital, Cape Town, South Africa
title_fullStr Factors associated with recurrent unplanned hospital visits at Khayelitsha District Hospital, Cape Town, South Africa
title_full_unstemmed Factors associated with recurrent unplanned hospital visits at Khayelitsha District Hospital, Cape Town, South Africa
title_short Factors associated with recurrent unplanned hospital visits at Khayelitsha District Hospital, Cape Town, South Africa
title_sort factors associated with recurrent unplanned hospital visits at khayelitsha district hospital cape town south africa
topic Hospitals -- Admission and discharge -- South Africa
Hospital utilization -- Length of stay -- South Africa
UCTD
url http://hdl.handle.net/10019.1/105564
work_keys_str_mv AT sayedjaved factorsassociatedwithrecurrentunplannedhospitalvisitsatkhayelitshadistricthospitalcapetownsouthafrica

Similar Items